Active NPI
Stephanie G. Moss, NP
- Nurse Practitioner
- Woodland, CA
National Provider Identifier
1508049776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP9581
- Practice address
- 2081 Bronze Star Dr
Woodland, CA 95776-5423 - Phone
- (530) 668-2600
- Fax
- (530) 661-1081
- NPI assigned
- Dec 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP9581 | CA | Primary |
Addresses
Primary practice location
2081 Bronze Star Dr
Woodland, CA 95776-5423
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9581 | CA | MD | Occupational Therapist |
| NP9581 | CA | MD | Nurse Practitioner |
Interoperability endpoints
- smossnp40110@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1508049776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2081 BRONZE STAR DR",
"city": "WOODLAND",
"state": "CA",
"postal_code": "957765423",
"telephone_number": "530-668-2600",
"fax_number": "530-661-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "STEPHANIE",
"middle_name": "G.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-11",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP9581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.